Evolved Chiropractic
NPI 1548039621ActiveOrganization· Chiropractor· Oak Creek, WI
Chiropractor in Oak Creek, Wisconsin, registered in NPPES in December 2023. The authorized official on file is Jon Anthony Mudlaff, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548039621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2023 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Dec 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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